Transformative Physical Rehab LLC
Occupational Therapist in Pasadena, CA. Organization (NPI-2).
NPI number1770103467
StatusActive
Last updated in NPPESMay 2, 2023
Details
- NPI
- 1770103467
- Entity type
- Organization (NPI-2)
- Legal business name
- Transformative Physical Rehab LLC
- Organization subpart
- No
- Enumeration date
- Apr 22, 2020
- Certification date
- May 2, 2023
- Last updated
- May 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 163WH0200X | Registered Nurse, Home Health | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 251E00000X | Home Health | – | – |
Practice location
230 S Altadena DrPasadena, CA 91107-4820
Phone 626-297-0658
Mailing address
1909 Condon AveRedondo Beach, CA 90278-3402
Phone 626-297-0658
Authorized official
Katrin Mutiany Izumi
Occupational Therapist/Owner
6262970658
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